Applications for ST1 and ST2

Considering applying to paediatrics? This page contains information about applying for ST1 and ST2 posts, including the application process, person specifications and guidance.

Important information

  • Provisional Dates: Applications will open at 10.00 BST on 11 November 2014 and will close at 17:00 BST on 4 December 2014.

  • The recruitment round will include posts for England, Northern Ireland, Scotland and Wales at ST1 and ST2 level.

  • Full Advert 2015 - Publication date TBC

We hope you find the information on these pages helpful. If after reading this information you have any further queries please contact the Recruitment and Careers team ( For regular updates on the process you can also follow us on Twitter at @paedjobs.

Not what you were looking for? Go to the ST3 and ST4 posts webpage.

The following information is for the previous 2014 round, the website will be updated shortly with information for the 2015 round for applicants wishing to apply for ST1 or ST2 posts.

  1. shutterstock_65225542.jpgCompetition ratios
  2. Application process
  3. The UK Offers system
  4. 2013 Post numbers and interview dates
  5. Person specifications
  6. Application form
  7. Foundation competences
  8. Guidance for applicants
  9. Preparing your portfolio for interview
  10. Deferred entry
  11. Information for overseas nationals
  12. Broad based training
  13. Academic Clinial Fellows
  14. Specialty Selection Test
  15. Contact us

1.Competition ratios

ST Competition ratios 2013

RCPCH strongly advises that you consider competition ratios for information only. As you will see they change annually and so we would always recommend making an application based on where you genuinely wish to work. You can find competition ratios for other specialties on the HEE Specialty Recruitment website.


 2.Application process

Applicants will make a single application to their first preference deanery/LETB, with the opportunity to select up to an additional three for consideration in the event that your first preference exceeds interview capacity.


Once applications close, candidates are progressed to the longlisting stage to assess their eligibility against a range criteria outlined in the person specification. These include right to work in the UK, previous specialty experience and GMC/Fitness to Practise status. 


Eligible candidates are considered by their first preference deanery/LETB, using the national shortlisting framework in order to determine a rank if required. At ST1 all eligible applicants will be offered an interview. Since 2011 all eligible ST1 applicants have been offered an interview in their first preference. However, in the event that the number of applications extends beyond the maximum interviewing capacity of a deanery/LETB, shortlisting rank will be used to place that applicant in another deanery/LETB that does have interview spaces left. Wherever possible applicants would then be interviewed in the 2nd, 3rd or 4th preference.

Due to the limited availability of posts at ST2, we do not guarantee interviews for all eligible applicants. Instead offers of interview are based on interview capacity and the number of posts available. At this level applications will not be transferred to other deaneries/LETB's.

Following interview

All appointable candidates will be ranked, in accordance with their interview score, within their interviewing deanery/LETB. Offers will be made accordingly .If an applicant is found to be appointable at interview, but didn't rank highly enough to get an offer in that deanery/LETB they will progress to national clearing (subject to post availability).


3. The UK Offers System

The UK health departments have been working with trainee doctors and other stakeholders to put in place an offers process allowing applicants to receive all their training offers electronically.  The process for making offers for specialty training posts will co-ordinate all first offers across all specialties so that applicants can accept, reject or hold an offer.

Accessing the UK Offers System

All specialties/deaneries/LETB's will be using the UK Offers System to make all training programme offers.  If you apply for a training post you may be sent a link to log in to the UK Offers System within 14 days of the national closing date for applications asking you to log in, verify your identity and check your contact (email) details. You will need to do this within 14 days of receiving the email. Make sure that you confirm an email address that you will have regular access to, as all offers will be made through the e-mail address you give.Depending on the specilaty this may be before or after your eligibility for that post has been confirmed.

If you have forgotten your password for the UK Offers System, you can ask for a password reminder through the UK Offers homepage.

Selecting preferences (deanery/LETB's or specific programmes within a deanery/LETB)

During the application process, you will be asked to specify your preferences. Depending on the specialty you have applied to, a preference may mean a deanery/LETB or it may refer to specific programmes available at a deanery/LETB that you preferenced in your initial application.

You will have the facility, via your applicant home page, to view a table showing the different preferences that are available to you. Full instructions on how to select and confirm preferences will be available on the preference page.

Your preferences along with your final rank are used to determine which offer, if any, you receive. If you are deemed to be appointable after interview, then you may be made an offer of your highest available preference.  The higher you are ranked at interview, the more likely you are to be offered your preference, although all offers are subject to eligibility and post availability. 

If you are not prepared to accept an offer of training in a certain deanery, then you should not rank it.

By ranking a preference (deanery/LETB or specific programmes within a deanery/LETB), you are stating that you would be prepared to undertake a training programme in that area, if none of your other preferences are available to you. It is important that you think carefully about this choice when applying for posts. Interview panels will not have access to your preferences.

Please read the programme descriptions carefully, paying close attention to the deanery/LETB in which the post is actually located as this may not be within the deanery that manages the recruitment to the post.

Receiving an offer on the UK Offers System

If you receive an offer through the UK Offers System, you will be able to accept, reject or hold the offer until a set date. This date will be clearly identified if you receive an offer. You will have 48 hours from the time your offer is made, including weekends and bank holidays, to decide whether to accept, reject or hold it. By responding, you accept certain conditions.


If you intend to reject an offer, please do so as soon as possible as this will allow the offer to be made to another applicant. If you were not offered a post in the initial release of offers, this does not mean you will not be offered one later on, as offers are recycled if other applicants reject them.


If you receive an offer through the UK Offers System you will automatically receive upgrades if you accept or hold an offer AND opt in for upgrades.  This means that should a higher ranked preference become available in a Unit of Application (Deanery) where you have held or accepted an offer, you will be automatically upgraded to this offer with no option to revert to your original offer.

You can opt out of upgrades at any point and this option is on your candidate home screen. If you chose to accept or hold your offer with upgrades, then you will be directed to an additional page, which shows you all your higher preferences. You will be able to edit your higher preferences at this point by opting out of ones you are no longer interested in.

Upgrading will continue until 17:00 GMT 19 March 2014 for CT/ST1 core and run-through training posts (providing posts are still available). 


4. Post numbers and interview dates

Indicative post numbers and interview dates can be found on the ST 2014 Deanery information page. This information is subejct to change, so you are advised to check it regularly.


 5. Person specifications

Before applying for an ST post you are advised to ensure you meet the the requirements outlined in the appropriate person specification.

ST1 2014 Paediatric Person Specification

ST2 2014 Paediatric Person Specification


6. Application form

You must complete your paediatric application online. Apllicants can find out more about completing the application in the Application Form Guidance document. You will not be able to access the online application form until 10:00GMT 12 November 2013.


7. Foundation competences

All applicants to specialty training at CT1/ST1 level must demonstrate all the competences described by the Foundation Curriculum, without exception.

Why do I need to demonstrate that I have Foundation Competence?

The possession of all the Foundation Competences is an essential criteria in CT1/ST1 person specifications because they are needed to help successful applicants cope with, and progress through the clinical experience that forms part of their specialty training. They are key attributes that ensure patient safety - in particular those relating to the recognition and management of the acutely ill patient, resuscitation and end of life care.

Further information on Foundation Competences, and how to demonstrate you have them can be found in Evidence of Foundation Competence.

If you are not currently in a UK Foundation Programme or do not hold an FACD 5.2 achieved since August 2011 you will be required to provide alternate evidence of achievement of these competences using the form, Alternative Certificate - Foundation Competences 2014.


8. Guidance for applicants

We recommend that you read the following guidance documents, which have been designed to assist you during various stages of the application process, from choosing your specialty through to attending the interview.

Guidance for Applicants 2014

Completing the Application Form

Shortlisting Guidance

Interview Guidance

HEE Applicant Handbook 


9. Preparing your portfolio for interview

The documents we require from your portfolio can be found in the Interview Guidance. If you do not have a portfolio (e.g. Foundation Programme/Paediatric ePortfolio) you may find the below documents useful when collating the evidence needed for that section of the interview. In addition you are advised to look at the assessment pages to get more information about these assessments.

Case-Based Discussion (CBD) 

Clinical Experience Evaluation Exercise (Mini-CEX)

Directly Observed Porcedural Skills (DOPS)

Please note: These guides are subject to change. You are advised to check you are using the most recent version.

10. Deferred entry

Further to the Gold Guide (fourth edition), deferred entry may only be considered for statutory reasons (e.g. maternity, ill health). If you are unsure whether you qualify for deferred entry please email the Recrutiment and Careers team.

11. Information for overseas nationals

If you are subject to immigration control, you will be required to provide evidence of your immigration status as at the closing date of the post to which you are applying. If you have limited leave to remain, you will be considered for the post as long as your immigration category allows you to take up a training programme and is valid on the closing date of the post to which you are applying.

Where an applicant needs to “switch” to another visa category the Resident Labour Market Test will be applied (unless the applicant is a graduate of a UK medical / dental school). If you need to “switch” your visa category, you should check the UKBA website to see if you may switch within the UK.

If you do not fall within one of the categories cited, any sponsor will have to apply for a “restricted” CoS and you will have to return home and make an application out of country – the issue of a restricted CoS and / or a successful application for new entry clearance cannot be guaranteed.

Non UK / EEA nationals who have graduated from a UK medical or dental school will be exempt from the Resident Labour Market Test when moving from their Foundation Programme directly into specialty training. This is a one off exemption and trainees are advised to seek advice from an immigration agent - see the UKBA website.

Information to assist you in determining whether or not you are eligble to apply for a Specialty Training post can be found in Annex B: Information for Overseas Nationals in the HEE Applicant Handbook.


12. Broad Based Training Programme

Further inforrmation on the Broad Based Training Programme


13. Academic Clinical Fellows

Academic Clinical Fellow (ACF) posts are recruited locally, via deaneries/LETB's. The recruitment process for these posts in centrally coordinated via NIHR.

ACF timeline

  • Application period: 14 October 2013 to 11 November 2013
  • Shortlisting/interview window: 12 November 2013 to 10 January  2014
  • Offers commence: 13 January 2014
  • Hold Deadline: 17:00 GMT 1 February 2014

Further information on posts available and interview dates can be found via the relevant deanery / LETB website.

Making an ACF application


14. Specialty Selection Test (SST)

In 2014, HEE and the devolved nations will be piloting a potential new stage of the recruitment process across CT1/ST1-level specialties and programmes - the specialty selection test (SST).

Essentially, this will be an online medical knowledge and judgement test, designed for trainees across F2-to-CT1/ST1-level training - similar in format to tests already employed as part of the general practice (GP) and broad-based training (BBT) recruitment processes.

The pilot will assess how well trainee performance can be predicted by tests of this nature; and consequently, whether such tests could add value to CT1/ST1 medical recruitment in future. 

Who can sit it?

Applicants who apply to ST1 Paediatrics in this round, as well as to other CT1/ST1-level specialties, will be invited to take part. Applicants will need only sit one test, regardless of the number of specialties to which they have applied.

We should stress at this point that participation is not mandatory for a paediatric ST1 application. Where paediatric applicants do opt to take part, test results will be anonymised and will not be used in the recruitment process for paediatrics. NB: these tests are already used actively in GP and BBT recruitment; so if you apply to GP and/or BBT, sitting the test will be mandatory, and test scores will be used in those recruitment processes.  

Taking part

All applicants who submit CT1/ST1 applications in this round (whatever the specialty) will receive an email in December 2013, inviting them to take part; this will give further details on how to sit the test.

Tests will be held between 13-25 January 2014, and participants will be invited to schedule an appropriate timeslot at a Pearson-Vue centre.

Further informaiton can be found on the HEE website


15. Contact us

Email: Recruitment and Careers team

Phone: 020 7092 6144